Preventive Medicine: An Educated Patient is Our Best Customer

1. Preventive Medicine: An Educated Patient is Our Best Customer Health Care Information Systems Project 1 March 22, 2000 Dan Baker Dan Schreiber

2. Part 1: Background of Preventive Care • Introduction to Preventive Care • Costs of Chronic Conditions and Risky Behaviors • Changing Factors Associated with Prospective Medicine Part 2: Solution Requirements • Health Risk Assessment • Access to Information Technology • Access to Medical Information Part 3: Vendor Identification - WellMed • WellMed Background • HRA Tool – HealthQuotient Part 4: Gaps in Current Solutions • Increased Interaction between HRA’s, Patients, and Physicians • Improving Quality of Information Provided • Increasing Consumer/Patient Utilization Part 5: Conclusions

3. Part 1: Background

4. Introduction to Preventive Care • Major Focus of Preventive Care • Participants • Disease and Condition Targets

5. Economic Cost of Various Diseases Direct Costs Indirect Costs Total Costs Disease Hypertension1 $24.5 $8.8 $33.3 $15.8 $45.3 $29.5 Stroke1 $286.5 Total Cardiovascular1 $178.2 $107.3 $44 Depression2 $19.9 $24.1 $285 $47 Obesity3 $238 $47 $97 Smoking4 $50 1: American Heart Association, 1999 2: Massachusetts Institute of Technology, 1998 3: American Obesity Association, The Lewin Group ,1999. Note: The costs for obesity results from the costs associated with treating 15 other diseases including diabetes, hypertension and stroke. $102B from treating those diseases and $136B more based on chances of getting other ailments (arthritis, liver/gallbladder/kidney disease, various cancers, etc.) 4: Centers for Disease Control, 1999

6. Changing Factors in Preventive Medicine • Benefits of Improved Preventive Care Services • Employer and Physician Participation • Access to Accurate Medical Information

7. Part 2: Solution Components

8. Components of the Solution • HRA: Background, Purpose, and Benefits • Information Exchange: The Web, E-mail, PC’s • Online Medical Information

9. Part 3: WellMed Inc.

10. Vendor Identification: WellMed Inc. • Company Background • Mission Statement “To design and develop ethical, educational tools that empower our client’s constituents to make informed decisions about their health and well-being.”

11. HRA Tool - WellQuotient • HealthQuotient and PopulationQuotient • Advanced HQ’s • Functionality and Design • Analysis and Output

12. Part 4: Current Gaps

13. Gaps in Current HRA Offerings and Proposed Solutions Problem: Lack on Ongoing Interaction with HRA Solution: Allow HRA to regularly communicate with both physicians and patients Problem: Limited Usefulness of Information Provided Solution: Improve Information Quality to Increase Patient’s Involvement in Health Decisions Problem: Lack of Patient Utilization Solution: Add Incentives for Consumers to Submit HRA’s

14. Part 5: Conclusions

15. Future of HRA’s and Preventive Care Services • Acknowledging the Usefulness and Limitations • of the HRA • Ability of Preventive Medicine to Affect Change • Continuum of Preventive Care Components

16. Preventive Care Components Clinical Guidelines & Protocols ‘Wired’ Consumers Preventive Care Medicine ‘Wired’ Physician Office Consumer Patient Record Online Medical Information Disease State Management Health Risk Assessment